Is inulin safe to use long term?

The long-term use of daily inulin in children is very safe, inexpensive, and controls SIBO as long as it remains effective. Eventually, as the child ages, the inulin will likely fail, and bacterial overgrowth will return. At this point, the child will need to be transitioned to intermittent courses of rifaximin to control any symptoms that occur from bacterial overgrowth.